| NPI | 1699062554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TN 110065) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 15905) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |