| NPI | 1578718342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 150292) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2012-12-05 |