NPI | 1427391127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17513) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 17513) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2022-03-31 |