| NPI | 1275010662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 24619) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24619) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2022-03-17 |