| NPI | 1033638234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 023334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 235405) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-03-30 |