| NPI | 1790872828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN11572) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 11572) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-02-01 |