| NPI | 1528514718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 21603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21603) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-07-21 |