| NPI | 1689092751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 18634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18634) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-05-06 |