| NPI | 1023514643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24805) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-06-23 |