| NPI | 1144696089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000205379) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-08-16 |