| NPI | 1649635434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-126965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-126965) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-05-20 |