| NPI | 1215713771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F08231040) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-02-12 |