| NPI | 1952601338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5005678) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000015317) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000015317) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-01-13 |