| NPI | 1447757935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902487) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2019-07-15 |