| NPI | 1326544800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22662) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |