| NPI | 1144544636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158618) |
| 363L00000X Nurse Practitioner (Licence: TN 20100001103) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2021-04-09 |