| NPI | 1366162067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 275908) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021657) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-05-24 |