| NPI | 1013971803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 143884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 143884) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11576) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-03-18 |