| NPI | 1629705736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 291667) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-03-26 |