| NPI | 1417579616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012924) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-12-23 |