| NPI | 1033368543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 64415) |
| 163W00000X Registered Nurse (Licence: TN 160208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 1128) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-06-12 |