| NPI | 1861162737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 205242) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-02-08 |