| NPI | 1548327083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN1003X Registered Nurse Nutrition Support (Licence: MD R072779) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R072779) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |