| NPI | 1942598669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN ANP0000012092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00128413) |
| 163W00000X Registered Nurse (Licence: TN RN0000156341) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005960) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2017-05-11 |