| NPI | 1578195467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27141) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: TN 27141) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-03-24 |