| NPI | 1417319864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 181726) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 181726) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-05-09 |