| NPI | 1649407420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-082736) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1082736) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1082736) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-04-17 |