| NPI | 1538799960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27022) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27022) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2024-03-13 |