| NPI | 1396275558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174673) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-11-17 |