| NPI | 1306519426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30032) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 186495) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-08-31 |