| NPI | 1225516636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 182067) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F07180795) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-09-21 |