| NPI | 1619777851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 242578) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-07-02 |