| NPI | 1093503468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4045725) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-09-19 |