| NPI | 1366573743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 241625) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 14175) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-08-01 |