| NPI | 1144713728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23759) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 23759) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2019-10-15 |