| NPI | 1447877485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28497) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 0000165401) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-11-12 |