| NPI | 1679050934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 90255) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-05-01 |