| NPI | 1285307280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 12377694-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 29886) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |