| NPI | 1083396220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 220251) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34851) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-10-07 |