| NPI | 1265768923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14349) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 150211) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2023-06-19 |