| NPI | 1083158414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 170336) |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2021-10-14 |