| NPI | 1710202239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 47847) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN apn0000014690) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2023-01-31 |