| NPI | 1407308943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: TN 664243197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21715) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-07-17 |