| NPI | 1265073217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232369) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-07-16 |