| NPI | 1932568797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000020460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 1932568797) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2023-12-26 |