| NPI | 1699375550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 234553) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-03-11 |