| NPI | 1932572443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 20119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187468) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2022-07-07 |