| NPI | 1780297291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 194537) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-31 |