| NPI | 1790437895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 30966) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS R876630) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |