| NPI | 1437670437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 171363) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-04-13 |