| NPI | 1578870853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 810378) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-03-08 |