| NPI | 1659014777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000221826) |
| 363L00000X Nurse Practitioner (Licence: TN 35034) | |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2024-09-22 |