| NPI | 1184170268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21645) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 189693) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-06-19 |