| NPI | 1710239579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN17038) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TN 17038) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2022-03-17 |