| NPI | 1669754131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R195737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R195737) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |