| NPI | 1871882431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158479) |
| 171000000X Military Health Care Provider (Licence: TN 15548) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-01-16 |