| NPI | 1538151311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 10702) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 131432) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-05-06 |