| NPI | 1649883257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28312) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TN 221639) |
| 363L00000X Nurse Practitioner (Licence: TN 28312) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-03-30 |