| NPI | 1417991753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-065633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 1-065633) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-11-26 |