| NPI | 1770732083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R079896) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R079896) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |