| NPI | 1295328342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000028980) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 153147) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-12-13 |