| NPI | 1245770791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 202441) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 22018) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2025-03-17 |