| NPI | 1437518982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20244) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 20299) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2018-03-28 |