| NPI | 1255476677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 64614) |
| 363L00000X Nurse Practitioner (Licence: AR A005747) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-07-19 |