| NPI | 1538125711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5597) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23279) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 5597) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 5597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23279) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-09-06 |