| NPI | 1851347439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN MR1119343) |
| 363L00000X Nurse Practitioner (Licence: TN 97045) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-08-11 |