| NPI | 1285015446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20044) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 165666) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2024-04-02 |