| NPI | 1720714793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 905448) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-01-08 |