| NPI | 1205370558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 165199) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: GA 165199) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |