| NPI | 1194715847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 6922) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN98724) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-03-14 |