| NPI | 1952808651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000024375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 905231) |
| 363L00000X Nurse Practitioner (Licence: AR A005681) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-12-11 |