| NPI | 1952032393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904659) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-03-18 |