| NPI | 1508098740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 27289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27289) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2022-03-22 |