| NPI | 1275737009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R095822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R095822) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |