| NPI | 1013489624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31929) |
| 163W00000X Registered Nurse (Licence: TN 0000231421) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2026-02-03 |