| NPI | 1235542085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18943) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 35275) |
| 163W00000X Registered Nurse (Licence: VA 0001116315) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-02-19 |