| NPI | 1457965055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28236) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 183181) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-16 |