| NPI | 1962996538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A005665) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AR R093529) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-01-16 |