| NPI | 1649208299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN PA0407) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN PA00407) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-11-18 |