| NPI | 1215470489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902827) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-03-04 |