| NPI | 1942730684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN23067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS 902072) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-09-14 |