| NPI | 1699703462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4131) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R107934) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-03-06 |