| NPI | 1992149819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17644) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 160890) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-04-01 |