| NPI | 1972632362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 7697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 118029) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2024-01-10 |