| NPI | 1780100214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022404) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-11-22 |