| NPI | 1992057509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 20635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 132443) |
| 163W00000X Registered Nurse (Licence: CA 615299) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 2011013190) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-03-22 |