| NPI | 1316649189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33294) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 905772) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-03-12 |