| NPI | 1295385300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 25499) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-06-24 |