| NPI | 1720711013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F06221184) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-01-04 |