| NPI | 1134644982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 227153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22916) |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2025-11-18 |