| NPI | 1538806591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31599) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-05-28 |