| NPI | 1144996034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29495) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-05-02 |