| NPI | 1740851914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 29710) |
| 363L00000X Nurse Practitioner (Licence: MS 904802) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-10-18 |