| NPI | 1316675549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F06222131) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-05-02 |