| NPI | 1700478021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 2022057379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 238720) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2022-12-20 |