| NPI | 1326659483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27961) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 27961) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27961) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-07-09 |