| NPI | 1003040999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN14053) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN14053) |
| 363L00000X Nurse Practitioner (Licence: TN APN14053) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-03-29 |