| NPI | 1255749560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN CAM1-0438-5836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 190094) |
| 363L00000X Nurse Practitioner (Licence: TN 18939) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 2014006656) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2022-02-01 |