| NPI | 1114545050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 27876) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 27876) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-02-24 |