| NPI | 1508308131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 227301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25872) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901840) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2024-03-28 |