| NPI | 1730739442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 192575) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2020-01-20 |