| NPI | 1871041251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F08161125) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 124312) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2022-04-01 |