| NPI | 1992351175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000026204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 0000026204) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-11-25 |