| NPI | 1881978310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175997) |
| 363L00000X Nurse Practitioner (Licence: TN 21083) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2021-05-02 |