| NPI | 1700906286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903227) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-03-24 |