| NPI | 1265143846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 215480) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32980) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-01-27 |