| NPI | 1003314154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 908549) |
| 163W00000X Registered Nurse (Licence: TN 186480) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2026-06-29 |