| NPI | 1851817001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22904) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2019-08-28 |