| NPI | 1306965926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000147736) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-08-29 |