| NPI | 1790451052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F08210629) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-08-06 |