| NPI | 1447211768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN204271L) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA UP006324M) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-08 |