| NPI | 1740531714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17040) |
| 163W00000X Registered Nurse (Licence: TN 182448) | |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2020-03-12 |