| NPI | 1952915092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 895127) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 904561) | |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2021-05-11 |