| NPI | 1023540457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN23456) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TN 23456) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-05-10 |