| NPI | 1861809881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000193575) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32289) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-01-06 |