| NPI | 1164191656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN38360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015272) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2026-01-12 |