| NPI | 1992973739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17286) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17286) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2016-10-17 |