| NPI | 1295158046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158756) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2024-03-06 |