| NPI | 1275151557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167509) |
| 163WG0000X Registered Nurse, General Practice (Licence: TN 0000167509) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-10-28 |