| NPI | 1720233554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 110941) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110941) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2010-04-19 |