| NPI | 1457507576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA 18407) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 18407) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 3167) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2022-06-09 |