| NPI | 1578173209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TN 0000190824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28532) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-11-09 |