| NPI | 1881009769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905665) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-06-07 |