| NPI | 1225315310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 38347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 38347) |
| 363L00000X Nurse Practitioner (Licence: MI 4704251093) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2025-08-14 |