| NPI | 1184132326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 2017035602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 207827) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-05-04 |