| NPI | 1407042930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704227573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN750803) |
| 163WG0000X Registered Nurse, General Practice (Licence: MI 4704227573) | |
| 363L00000X Nurse Practitioner (Licence: CA NP18939) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP18939) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-07-21 |