| NPI | 1710939301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 100792) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-10-14 |