| NPI | 1851928758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN000002648) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 26948) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-04-07 |