| NPI | 1003490210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 218096) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-07-12 |