| NPI | 1902300940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 208132) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-08-05 |