| NPI | 1588045280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 20317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20317) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172815) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172815) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-10-09 |