| NPI | 1104258532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-121710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121710) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2022-08-11 |