| NPI | 1255420972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12021) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000012021) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9332984) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-11-05 |