| NPI | 1316143282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R786799) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2025-02-04 |