| NPI | 1285137380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 169468) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 905658) | |
| 163W00000X Registered Nurse (Licence: MS 916499) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 24058) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-01-07 |