| NPI | 1891838710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN rn0000103821) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-08-07 |