| NPI | 1578252276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906266) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-09-15 |