| NPI | 1588247308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29457) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2022-07-10 |