| NPI | 1588045132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 21106) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-128366) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN255482) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-06-29 |