| NPI | 1487308706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 217809) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2023-08-02 |