| NPI | 1932494275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 214811) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-03-13 |