| NPI | 1265776553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN592024) |
| 163W00000X Registered Nurse (Licence: NC 213131) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5006912) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012867) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2018-08-30 |