| NPI | 1033524970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 18844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 149844) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024173164) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-11-22 |