| NPI | 1679646889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN0000011363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN000011363) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |