| NPI | 1295326015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013970) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-08-15 |