| NPI | 1265140081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 32720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32720) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: TN 32720) | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-11-20 |