| NPI | 1992971238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000013429) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-01-10 |