| NPI | 1649635616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20709) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 20709) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-05-03 |