| NPI | 1760591523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 87969) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-03-20 |