| NPI | 1063041101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN258897) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: GA RN258897) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |