| NPI | 1306269147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 176944) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-10-11 |