| NPI | 1821194127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN APN0000008305) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: HI 2491) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-03-07 |