| NPI | 1851556542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60432625) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71002715A) |
| 363L00000X Nurse Practitioner (Licence: MI 4704209049) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-11-14 |