| NPI | 1265580021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN RN-133360 APN-8239) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN 8239) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-03-07 |