| NPI | 1275836983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15430) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15430) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2022-02-01 |