| NPI | 1801355466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN284659) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 25511) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-12-10 |