| NPI | 1508096900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN Pending) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-09-28 |