| NPI | 1346747839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 189453) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2019-05-09 |