| NPI | 1427723089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 30209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 150229) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-09-25 |