| NPI | 1023431517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R860346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN18419) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2015-05-13 |