| NPI | 1356662027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN18804) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9281237) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R198835) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-01-28 |