| NPI | 1699343517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30446) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 248125) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-06-02 |