| NPI | 1104247162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18000) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN18000) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 18000) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2023-11-13 |