| NPI | 1407240732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R883048) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A004592) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-03-20 |