| NPI | 1124083720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 108970) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-03-07 |