| NPI | 1538732797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 29904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 149310) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-28 |