| NPI | 1376876383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26362) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 68410) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2022-11-02 |