| NPI | 1548206394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 66153) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-08-22 |