| NPI | 1417589029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27288) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 215612) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-12-17 |