| NPI | 1659844553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902604) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 902604) | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2021-10-22 |