| NPI | 1871796466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000012614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN12614) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2022-03-31 |