| NPI | 1588804140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 23919) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23919) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP010206) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-03-31 |