| NPI | 1992431191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905477) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-10-30 |