| NPI | 1083269807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26227) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903600) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2021-09-13 |