| NPI | 1891765970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 10926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000010926) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 2004003624) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-07-10 |