| NPI | 1629517099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174677) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2022-07-21 |