| NPI | 1912979485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 110607) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2019-05-15 |