| NPI | 1235548363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18863) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02586) | |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2022-07-21 |