| NPI | 1912543067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225164) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-05-01 |