| NPI | 1457552317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP5170) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 11906) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-05-14 |