| NPI | 1447890298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26581) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903531) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-06-21 |