| NPI | 1942847694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 205219) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 27410) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-07-30 |