| NPI | 1831592161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-180220) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-03-01 |