| NPI | 1871033472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 889671) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |