| NPI | 1285367607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30487) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12783695) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2022-07-06 |