| NPI | 1922342641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-034454) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17129) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-03-17 |