| NPI | 1124486725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F0116632) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2024-02-06 |