| NPI | 1811634835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32486) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 182924) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F06221472) | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-09-17 |