| NPI | 1841541125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19847) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19847) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 19847) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2022-03-18 |