| NPI | 1386805786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 113389) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 113389) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2012-09-13 |