| NPI | 1689165334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 24363) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WG0000X Registered Nurse General Practice (Licence: TN 149300) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-20 |