| NPI | 1841209277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 10752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000055200) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000010752) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-01-03 |