| NPI | 1538564893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A180697) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2024-10-31 |