| NPI | 1093958563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN163731) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2023-11-27 |