| NPI | 1558407379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905726) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-04-19 |