| NPI | 1912108986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN05846) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN05846) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-03-30 |