| NPI | 1336708932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 25981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 207214) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |