| NPI | 1730375007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12386) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 109809) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 12386) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2023-11-29 |