| NPI | 1285114215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902692) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-08-09 |