| NPI | 1902455652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24704) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 24704) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-01-13 |