| NPI | 1770913162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PR 1825) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2018-07-02 |