| NPI | 1891240743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 196188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-140718) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-07-28 |