| NPI | 1891868105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13275) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13275) |
| 163W00000X Registered Nurse (Licence: TN RN0000160813) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F-303915) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-01-05 |