| NPI | 1689145435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000219628) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-11-04 |