| NPI | 1386845352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000008339) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000008339) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN08339) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-23 |