| NPI | 1376743708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA S065099) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: IA 065099) |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: IA S-065099) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IA S065099) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2011-11-23 |