| NPI | 1295018216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15937) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN APN0000015937) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-02-06 |