| NPI | 1932450756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16840) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: TN 150283) |
| 163WH1000X Registered Nurse, Hospice (Licence: TN 16840) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2020-12-17 |