| NPI | 1356931042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9492484) |
| 171000000X Military Health Care Provider (Licence: TN 30399) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-10-14 |