| NPI | 1750350062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN048143) |
| Additional Taxonomies | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: AZ RN048143) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-04-11 |