| NPI | 1013097518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5624) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 5624) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-07 |