| NPI | 1093344756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014180) |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2022-07-28 |