| NPI | 1124078894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA RN544717) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN180161) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-03-06 |