| NPI | 1609271824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19261) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2015-08-06 |