| NPI | 1356536924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN260235L) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2010-06-02 |