| NPI | 1417942848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 6735) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN RN93848) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2021-02-18 |