| NPI | 1245610880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19838) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 19838) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TN 19838) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-04-05 |