| NPI | 1174813323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 4132) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: SC 4132) |
| 163W00000X Registered Nurse (Licence: SC 4132) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2013-10-05 |