| NPI | 1801067251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN13353) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 13353) |
| 363L00000X Nurse Practitioner (Licence: MS A810297) | |
| 163W00000X Registered Nurse (Licence: TN 141621) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2022-02-10 |