| NPI | 1467098582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 159551) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2019-12-06 |