| NPI | 1144602152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN APN0000019286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000172187) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2022-12-22 |