| NPI | 1366089161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 26784) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26784) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN000026784) | |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2023-09-28 |