| NPI | 1760561328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111976) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP8436) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-22 |