| NPI | 1316373038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R885045) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-03-21 |