| NPI | 1518210392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005177) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-12-06 |