| NPI | 1467051029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 904313) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 28617) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2022-07-13 |