| NPI | 1366992760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21588) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-12-23 |