| NPI | 1528529146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144792) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-03-13 |