| NPI | 1336558626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19051) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN RN0000141613) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-03-08 |