| NPI | 1487704136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000152044) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-02-16 |