| NPI | 1801675012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34992) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 191938) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-12-01 |