| NPI | 1821452285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008666) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-06-02 |