| NPI | 1215448162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32279) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: TN 32279) |
| 363L00000X Nurse Practitioner (Licence: TN 32279) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345447) | |
| 364S00000X Clinical Nurse Specialist (Licence: FL APRN9345447) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-10-31 |