| NPI | 1811376213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F1214604) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-04-11 |