| NPI | 1497271720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 110112) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2024-05-20 |