| NPI | 1295952505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 132766) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-09-10 |