| NPI | 1962646638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810407) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2019-06-24 |