| NPI | 1326669425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158573) |
| 208M00000X Hospitalist (Licence: TN 27472) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-09-11 |