| NPI | 1073047189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22853) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 174736) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-03-30 |