| NPI | 1740649870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20885) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2021-12-22 |