| NPI | 1528683133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27703) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 194136) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 194136) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-06-14 |