| NPI | 1982066460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 157873) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000021034) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-10-15 |