| NPI | 1669753885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 111269) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 111269) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NE 111269) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-11-30 |