| NPI | 1629213509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L-092807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4642-33) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2021-04-13 |