| NPI | 1922063429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-107656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-107656) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-01-27 |