| NPI | 1821069733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902376) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-07-21 |