| NPI | 1760932057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22907) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2022-06-06 |