| NPI | 1518516707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-156358) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1-156358) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-06-29 |