| NPI | 1255525580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000012898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000151915) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-04-02 |