| NPI | 1982933362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000014590) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2025-01-16 |