| NPI | 1790108975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 179786) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2020-06-11 |