| NPI | 1841498011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 12465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12465) |
| 208C00000X Colon & Rectal Surgery (Licence: TN 12465) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-02-12 |