| NPI | 1164485272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN18014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001192844) |
| 164W00000X Licensed Practical Nurse (Licence: VA 0024166387) | |
| 164W00000X Licensed Practical Nurse (Licence: VA 0017138251) | |
| 363L00000X Nurse Practitioner (Licence: TN APN18014) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-03-07 |