| NPI | 1982913588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 15551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161333) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-04-07 |