| NPI | 1528659059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248329) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-02-09 |