| NPI | 1952751166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 175074) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21643) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2022-03-22 |