| NPI | 1639470180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167676) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2022-03-26 |