| NPI | 1639180177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN11265) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 222369) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-10-15 |