| NPI | 1801159363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 229745) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2013-09-11 |