| NPI | 1033724349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MS 904285) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: TN 27957) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-11-17 |