| NPI | 1922346238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R877589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000173011) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2023-09-19 |