| NPI | 1831357599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111591) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN189713) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L139178) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2015-09-18 |