| NPI | 1316461726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21947) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-04-15 |