| NPI | 1942787833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24494) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 24494) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191176) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-01-29 |