| NPI | 1851798250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19445) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-04-28 |