| NPI | 1114469111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95005139) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 95005139) |
| 363L00000X Nurse Practitioner (Licence: CA 9500139) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2018-10-15 |