| NPI | 1215939350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 129653) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 11088) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-04-11 |