| NPI | 1619028016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5006254) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP008836) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430342) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-03-11 |