| NPI | 1245643246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R850812) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-02-02 |