| NPI | 1861760852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP011698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011698) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-01-09 |