| NPI | 1790317774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27101) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 200449) |
| 363L00000X Nurse Practitioner (Licence: TN 27101) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-11-30 |