| NPI | 1740739747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21758) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21758) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2024-08-27 |