| NPI | 1346896123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187283) |
| 363L00000X Nurse Practitioner (Licence: MS 903491) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 26279) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-07-26 |