| NPI | 1285294744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 828574) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NV RN777228) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-02-16 |