| NPI | 1427698513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 868349) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2021-03-19 |