| NPI | 1952655797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012438) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012438) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2016-09-21 |