| NPI | 1831506930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 023096) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 199555) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-04-21 |