| NPI | 1043951965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 315913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11027748) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-10-08 |