| NPI | 1548998750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA Rn147800) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 229177) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-07-23 |