| NPI | 1851907703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 28212) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904140) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-07-15 |