| NPI | 1871865717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R868540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000016413) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-10-04 |