| NPI | 1962865311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21471) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN RN00000202733) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21471) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2023-06-19 |