| NPI | 1912212879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 15560) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 15560) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: TN 145791) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2024-10-12 |