| NPI | 1992308837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-136017) |
| 163W00000X Registered Nurse (Licence: TN 237412) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35517) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-03-31 |