| NPI | 1235788167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26353) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26353) |
| 363L00000X Nurse Practitioner (Licence: TN 26353) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2021-01-22 |