| NPI | 1588004766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171230) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN RN0000162033) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2015-09-11 |