| NPI | 1326672510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28781) |
| 363L00000X Nurse Practitioner (Licence: MS 903809) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-04-12 |