| NPI | 1538670112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 37263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4549) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2024-10-07 |