| NPI | 1932079993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 42330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000259992) |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2026-07-16 |