| NPI | 1104497932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 904452) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-04-04 |