| NPI | 1851697361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN11425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 0000011425) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2015-03-11 |