| NPI | 1902249394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000017568) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-04-18 |