| NPI | 1417913674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5342) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 5342) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 5342) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-08-01 |