| NPI | 1760235618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185455) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-10-05 |