| NPI | 1962940866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022332) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-01-24 |