| NPI | 1316456726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-097477) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: AL 1-097477) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |