| NPI | 1912429036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23007) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 23007) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-09-26 |