| NPI | 1740333756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 138036) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2024-09-19 |