| NPI | 1992236475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22727) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 171371) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 26264) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2021-07-07 |