| NPI | 1659855435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24714) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 24714) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-12-03 |