| NPI | 1316432602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 24482) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TN 139722) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-07-24 |