| NPI | 1013542018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 293153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027237) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2021-12-28 |