| NPI | 1306303375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000218626) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28342) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-08-26 |