| NPI | 1073266219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21734) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 21734) |
| 207Y00000X Otolaryngology (Licence: TN 21734) | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-03-03 |