| NPI | 1073046751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22432) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 22432) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2026-06-10 |