| NPI | 1174014948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25903) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 25903) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2024-08-08 |