| NPI | 1952655342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17091) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000137525) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000017091) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-11-20 |