| NPI | 1306462478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F06200392) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |