| NPI | 1972616332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R550191) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MS R550191) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-06-18 |