| NPI | 1811982242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 100380) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-07-15 |