| NPI | 1114331097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 30902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 50576) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-08-15 |