| NPI | 1770525222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 200936) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 200936) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 200936) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-04-08 |