| NPI | 1841455060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2008004179) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-05-10 |