| NPI | 1821260803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 145233) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2021-04-08 |