| NPI | 1518572528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2020014482) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-03-04 |