| NPI | 1689134645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN NP0000025035) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2020-10-30 |