| NPI | 1326276239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NE 55105) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111073) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-09-02 |