| NPI | 1134099989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 41560) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4047704) |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2026-05-28 |