| NPI | 1003245689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7827540-4405) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2022-08-24 |