| NPI | 1124601364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010906) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-05-01 |