| NPI | 1598341232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000028989) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-10-03 |