| NPI | 1831664770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 185448) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-08-19 |