| NPI | 1851384374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12071) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 12071) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TN 154526) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2025-01-28 |