| NPI | 1518155225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000008004) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 0000126725) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2022-03-30 |