| NPI | 1053043372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 209324) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-07-11 |