| NPI | 1639840366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30327) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 30327) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |