| NPI | 1396946372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000012028) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN RN0000154265) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 154265) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-03-23 |