| NPI | 1003065640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201050200NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 16758) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2018-10-08 |