| NPI | 1245169416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 42101) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 293304) |
| 363L00000X Nurse Practitioner (Licence: TN 42101) | |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-06-09 |