| NPI | 1841738978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN F1216703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193448) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |