| NPI | 1750576922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 12151) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12151) |
| 363LF0000X Nurse Practitioner Family (Licence: TN RN0000087743) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-07-07 |