| NPI | 1447345293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA RN296791L) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA VP006556M) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-10-18 |