| NPI | 1750829909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23534) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 1136630) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136630) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-11-15 |