| NPI | 1336113455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000062114) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-05-10 |