| NPI | 1235872169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 31787) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TN 0000223839) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-03-27 |