| NPI | 1023744935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 226804) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31551) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |