| NPI | 1780380618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 01230104) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-04-11 |