| NPI | 1669057485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 214696) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |