| NPI | 1821392960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430564) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP011173) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2013-07-09 |