| NPI | 1952563306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 12978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000163298) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-01-22 |