| NPI | 1033731666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 200401) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-05-26 |