| NPI | 1326356890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 135894) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2024-10-04 |