| NPI | 1457635310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN18061) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN APN18061) |
| 363L00000X Nurse Practitioner (Licence: KS 75471) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN18061) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2022-02-09 |