| NPI | 1669564845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN12230) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 105300) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN12230) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN0000012230) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-07-20 |