| NPI | 1881817450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R709271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R709271) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R709271) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-05-14 |