| NPI | 1134729841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 198912) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-03-19 |