| NPI | 1942452883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A003159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR P01089) |
| 363L00000X Nurse Practitioner (Licence: AR A003159) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2014-12-04 |