| NPI | 1942988720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34097) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 0000034097) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-09-02 |