| NPI | 1114509981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN39134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN253924) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-08-25 |