| NPI | 1003912437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN11940) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 11940) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-09-18 |