| NPI | 1588792899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 12635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 142133) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-01-25 |