| NPI | 1457544033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP2728) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-02-27 |