| NPI | 1073852141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07199) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2022-03-21 |