| NPI | 1750044186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 29535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 0000029535) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-04-27 |