| NPI | 1619596889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000207698) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-01-24 |