| NPI | 1174702351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 12996) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2023-10-23 |