| NPI | 1760052534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34772) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IA A161607) |
| 363L00000X Nurse Practitioner (Licence: IA A161607) | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2024-02-08 |