| NPI | 1891815106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN20009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 677957) |
| 163W00000X Registered Nurse (Licence: TN RN178773) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-06-14 |