| NPI | 1295843266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 111138) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 111138) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-04-01 |