| NPI | 1467413922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN 10841) |
| Additional Taxonomies | 364SC2300X Clinical Nurse Specialist Chronic Care (Licence: TN APN0000010841) |
| 363L00000X Nurse Practitioner (Licence: AL 1-040815) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-06-12 |