| NPI | 1770866246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18375) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007166) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000178625) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2014-05-12 |