| NPI | 1346915410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 222550) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-02-09 |