| NPI | 1942607486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA SP014413) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001890) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001890) | |
| Enumeration Date | 2014-11-27 |
| Last Update Date | 2023-04-28 |