| NPI | 1487329298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC FISK-7UP2P) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-12-21 |