| NPI | 1881020766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016365) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0990788) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-02-28 |