| NPI | 1487948626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 440933) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4409) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-01-04 |