| NPI | 1780662387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 005000607) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: NC 005000607) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-07-18 |