| NPI | 1184342776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32086) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-11-02 |