| NPI | 1043752009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 21632) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901785) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-12-06 |