| NPI | 1407364318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902412) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP135656) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-03-07 |