| NPI | 1518544352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN F10200593) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-01-22 |