| NPI | 1841728565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 177386) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22351) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-05-23 |