| NPI | 1699393843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000222039) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 29846) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-03-29 |