| NPI | 1285238469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000223534) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2025-04-29 |