| NPI | 1801505532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 231875) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-06-04 |