| NPI | 1144055328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14069940) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-01-22 |