| NPI | 1437711249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003195) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-05-07 |