| NPI | 1740917848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32344) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: TN 167096) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-12-06 |