| NPI | 1649006081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907072) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-11-07 |