| NPI | 1528497054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA UP003607C) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA UP003607C) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-05-03 |