| NPI | 1962020750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 27946) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TN 224683) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-01-17 |