| NPI | 1003072273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 151351) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2022-09-11 |