| NPI | 1225887847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 36521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS F05240363) |
| 363LF0000X Nurse Practitioner Family (Licence: MS R887939) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-06-26 |