| NPI | 1740361914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 33253) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4934P) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-06-03 |