| NPI | 1588154009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001685) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11031665) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-05-22 |