| NPI | 1518522283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904177) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 904177) |
| 207Q00000X Family Medicine (Licence: TN 25671) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-12-29 |