| NPI | 1013613686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33380) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 207501) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F01230391) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-08-25 |