| NPI | 1700383155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23970) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-2480) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 23970) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-07-19 |