| NPI | 1841625423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 000017838) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN17838) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 000017838) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN17838) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2017-10-30 |