| NPI | 1922505569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24687) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 210855) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-12-10 |