| NPI | 1114023355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN10461) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN10461) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2014-12-30 |