| NPI | 1891188223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 217693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 217693) |
| 163W00000X Registered Nurse (Licence: TN 168711) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19932) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-08-22 |