| NPI | 1770891269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN15127) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000766) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2020-04-21 |