| NPI | 1184297533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000034821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 262300) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2025-07-21 |