| NPI | 1881983674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175820) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2024-03-19 |