| NPI | 1841392784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 667056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14312) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-06-22 |