| NPI | 1053916528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000032233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010333) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-07-09 |