| NPI | 1912198649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202212533NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN8183) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202212533NP-PP) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2025-09-08 |