| NPI | 1801353024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 9511204) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95011204) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2019-02-24 |