| NPI | 1528403441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000178638) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN0000016801) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2021-10-11 |