| NPI | 1427516418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000182242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025744) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2022-01-02 |