| NPI | 1679000996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 161482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22730) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2023-02-21 |