| NPI | 1851946560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 26348) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 26348) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-10-11 |