| NPI | 1831633528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21712) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174446) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2021-01-18 |