| NPI | 1104155332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 162340) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2022-03-18 |