| NPI | 1972161818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 185739) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-07-07 |