| NPI | 1124530720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 195734) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2022-03-23 |