| NPI | 1588031421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22609) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP08508) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901504) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2019-12-12 |