| NPI | 1265926208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24559) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 198215) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-01-09 |