| NPI | 1841778404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018028911) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2022-12-13 |