| NPI | 1376823377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 147211) |
| 363L00000X Nurse Practitioner (Licence: MS 810556) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15892) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-03-28 |