| NPI | 1548496557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 166081) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5004374) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2024-01-31 |