| NPI | 1366916249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA H152925) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-01-23 |