| NPI | 1255662243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN173162) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2022-07-12 |