| NPI | 1215554217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209052) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-03-12 |