| NPI | 1326179920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN12528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12528) |
| 363L00000X Nurse Practitioner (Licence: TN APN12528) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN12528) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-03-07 |