| NPI | 1134761828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37837) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 0000222313) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-02-12 |