| NPI | 1790081941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4456) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 4456) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-03-22 |