| NPI | 1245883792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161789) |
| 363L00000X Nurse Practitioner (Licence: TN 26316) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-07-24 |