| NPI | 1457595498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1124-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 1124-33) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |