| NPI | 1982218459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27833) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 27833) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-05-21 |