| NPI | 1528162146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 001890) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: CT 001890) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-08-12 |