| NPI | 1083125140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 23135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23135) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-02-05 |