| NPI | 1962854794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 195200) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-03-14 |