| NPI | 1164160628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005678) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000031854) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025695) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11020217) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 2022001530) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-02-15 |