| NPI | 1275874232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17486) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17486) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 17486) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2023-09-12 |