| NPI | 1013684760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27294) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 230792) |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2025-01-24 |