| NPI | 1699246397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903297) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-03-24 |