| NPI | 1538672241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 176522) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2019-06-11 |