| NPI | 1316957715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN142576) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN138860) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-05-18 |