| NPI | 1033925136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 41935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 268737) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2026-05-07 |