| NPI | 1174049530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905860) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-03-27 |