| NPI | 1730429879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17393) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 17393) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2023-07-19 |