| NPI | 1194391607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 226868) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-04-25 |