| NPI | 1891377990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 12282562) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-09-21 |