| NPI | 1902347545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022302) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-12-11 |