| NPI | 1154659100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 146549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810532) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 151209) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2023-05-18 |