| NPI | 1659059798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906088) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-09-04 |