| NPI | 1831636711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32522) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4952) |
| 363L00000X Nurse Practitioner (Licence: MN 4952) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-10-07 |