| NPI | 1851720353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1649) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2021-06-26 |