| NPI | 1245049766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 191441) |
| 363L00000X Nurse Practitioner (Licence: KY 4033970) | |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-01-13 |