| NPI | 1477813699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN16785) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN16785) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AL 1-116207) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2022-03-14 |