| NPI | 1851622468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2966552) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2966552) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2024-08-20 |