| NPI | 1386946267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171092) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TN 15414) | |
| Enumeration Date | 2010-11-25 |
| Last Update Date | 2023-10-29 |