| NPI | 1477183226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26627) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26627) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26627) | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2022-05-19 |