| NPI | 1902276330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9419636) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-07-06 |