| NPI | 1003574831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 307275) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-04-05 |