| NPI | 1033759550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2019083673) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-04-05 |