| NPI | 1689943235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 886661) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000016347) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2023-01-23 |