| NPI | 1851694848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15453) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005880) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2018-09-17 |