| NPI | 1811288749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7393-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 215138) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114378) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-10-06 |