| NPI | 1194275560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1042751) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DC 1042751) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2022-03-25 |