| NPI | 1134341977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 05453) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 135107) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 12664) | |
| 163W00000X Registered Nurse (Licence: LA 121668) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-05-20 |