| NPI | 1194250399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 199223) |
| 163W00000X Registered Nurse (Licence: FL RN9362202) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-07-21 |