| NPI | 1205852282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019034475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN UPN-5959) |
| 163W00000X Registered Nurse (Licence: TN RN000066878) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2001002272) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005959) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-01-15 |