| NPI | 1477595106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 89364) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-03-31 |