| NPI | 1942200290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-068111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-068111) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-068111) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-12-28 |