| NPI | 1306243431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F0914357) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-03-07 |