| NPI | 1447565700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 810548) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-02-22 |