| NPI | 1003118019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011093) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-11-20 |