| NPI | 1336669472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10247) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-11-17 |