| NPI | 1801662226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906333) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-30 |