| NPI | 1295429843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166015) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-08-15 |