| NPI | 1225542723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 23471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 902417) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-09-15 |