| NPI | 1114283892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16634) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 16634) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2023-11-20 |