| NPI | 1326684788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26804) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26804) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2025-03-06 |