| NPI | 1982944534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 24755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230616) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2020-02-25 |