| NPI | 1184053472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 160343) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2021-03-05 |