| NPI | 1609298546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 121721) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18221) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |