| NPI | 1184962169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN20801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010176) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-02-09 |