| NPI | 1720332174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17132) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 17132) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2025-07-24 |