| NPI | 1215705488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 34471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 906302) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-06-20 |