| NPI | 1649672775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19056) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-02-23 |