| NPI | 1407399702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 179840) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2022-03-18 |