| NPI | 1811171986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200750156NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18902) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2022-08-31 |