| NPI | 1669647319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 2456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 96853) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 2456) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13435) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 13435) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-12-08 |