| NPI | 1790135150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-122814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-122814) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-12814) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-09-20 |