| NPI | 1669048294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 29447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 29447) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-08-28 |