| NPI | 1235179953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7864) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN7864) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 7864) | |
| 207P00000X Emergency Medicine (Licence: TN 7864) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-02-19 |