| NPI | 1811527609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27147) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 27147) |
| 163WH1000X Registered Nurse, Hospice (Licence: TN 203809) | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-03-28 |