| NPI | 1639633258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-128406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-128406) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128406) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-07-08 |