| NPI | 1316484116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901900) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2024-01-10 |