| NPI | 1205358637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 199987) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-02-01 |