| NPI | 1093321861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28343) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: TN 172811) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28343) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-01-18 |