| NPI | 1043082050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906348) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-12-12 |