| NPI | 1639339682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 869304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 13240) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS r869304) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-10-05 |