| NPI | 1568776235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN19684) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 162814) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 162814) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2016-05-02 |