| NPI | 1083017313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5024434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018882) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R891374) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2026-06-04 |