| NPI | 1629450390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 35561) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9264588) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9264588) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-06-13 |