| NPI | 1053051227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33463) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 905234) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-02-15 |