| NPI | 1902842263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 100010) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 100010) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 100010) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |