| NPI | 1699167791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000181646) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2022-05-27 |