| NPI | 1699162560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 132561) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2015-07-28 |