| NPI | 1770888950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 129715) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0015001005) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN0000014651) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2022-02-02 |