| NPI | 1629641519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-158214) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-158214) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-09-30 |