| NPI | 1346965324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC HAST-TN20P) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC HAST-TN20P) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |