| NPI | 1659504975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN546762) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2016-11-09 |