| NPI | 1578971263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9385696) |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2023-04-03 |