| NPI | 1316191109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN13507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 87133) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2022-07-21 |