| NPI | 1215790092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 212486) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-03-14 |