| NPI | 1922380534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000659) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2022-10-31 |