| NPI | 1134657836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 001126) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22501) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-06-24 |