| NPI | 1659631794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN14090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN142205) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2019-06-17 |