| NPI | 1306551395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33550) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-11-19 |