| NPI | 1205262011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN17647) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: TN 17647) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2021-10-20 |