| NPI | 1952871055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 32063) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 22404) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012679) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5012679) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-05-15 |