| NPI | 1700028966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN11388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000011388) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000011388) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-01-11 |