| NPI | 1801293436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 19350) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 19350) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2023-12-21 |