| NPI | 1881230076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33379) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TN 33379) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33379) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33379) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-02-26 |