| NPI | 1588399836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 225027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30988) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-04-13 |