| NPI | 1205488087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903337) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 25925) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-10-04 |