| NPI | 1780224006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280902) |
| 163W00000X Registered Nurse (Licence: TN 210762) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 30439) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-03-25 |